卡槽式上肢约束具的设计及在患者上肢保护性约束中的应用

doi:10.3969/j.issn.2095-378X.2026.03.020

外科研究与新技术（中英文） ›› 2026, Vol. 15 ›› Issue (3): 292-296.doi: 10.3969/j.issn.2095-378X.2026.03.020

卡槽式上肢约束具的设计及在患者上肢保护性约束中的应用

赵菊华, 李晓静, 漆映辉, 范丽群, 赵小敏, 王英子

上海交通大学医学院附属仁济医院浦南分院护理部,上海 200125

收稿日期:2026-02-28 出版日期:2026-09-28 发布日期:2026-09-30
通讯作者: 漆映辉,电子信箱：qwe1968@163.com
作者简介:赵菊华（1980—）,女,副主任护师,从事临床老年护理管理工作
基金资助:
上海市浦东新区科技发展基金事业单位民生科研专项医疗卫生项目（PKJ2024-Y94）; 上海市浦东新区卫生健康委“慢性肾脏病重点专科”（PWZzk2022-24）

Design and clinical application of slot-type upper limb restraint device

ZHAO Juhua, LI Xiaojing, QI Yinghui, FAN Liqun, ZHAO Xiaomin, WANG Yingzi

Nursing Department, Punan Branch of Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200125, China

Received:2026-02-28 Online:2026-09-28 Published:2026-09-30

摘要/Abstract

摘要： 目的研制一种卡槽式上肢约束具,探索其在临床工作中的应用效果。方法采用随机对照试验设计,选取2024年12月—2025年12月入住医院需行身体约束的360例患者,采用随机数字表法分为对照组与试验组,每组各180例。对照组采用传统手腕约束带加棉布包裹约束,试验组采用卡槽式上肢约束具约束。比较两组非计划拔管率、约束相关并发症发生率、患者约束体验及护理人员对约束装置的使用评价。结果试验组非计划拔管率、约束相关并发症发生率均低于对照组;护理人员对约束装置便捷性、安全性及护理难度评分均高于对照组;患者约束体验优于于对照组,差异均有统计学意义（均P<0.05）。结论卡槽式上肢约束具可有效降低非计划拔管率及约束相关并发症,改善患者约束体验,提升护理人员操作效率,具有临床应用推广价值。

关键词: 身体约束, 约束具, 非计划拔管, 临床护理

Abstract: Objective To develop a slot-type upper limb restraint device and explore its clinical application efficacy. Methods A randomized controlled trial design was adopted. A total of 360 patients who were admitted from December 2024 to December 2025 and required physical restraint were selected. They were randomly divided into a control group and an experimental group using a random number table method, with 180 patients in each group. The control group was restrained with traditional cotton-wrapped wrist straps, while the experimental group was restrained with slot-type upper limb restraint devices. The unplanned extubation rate, incidence of restraint-related complications, patients’ restraint experience, and nurses’ evaluation of the use of restraint devices were compared between the two groups. Results The experimental group demonstrated lower rates of unplanned extubation and restraint-related complications, higher nurses’ ratings on the convenience, safety, and operational difficulty of the restraint devices, and better patients’ restraint experience than the control group. All differences were statistically significant （P<0.05）. Conclusion The slot-type upper limb restraint device can effectively reduce the unplanned extubation rate and restraint-related complications, improve patients’ restraint experience, and enhance the operational efficiency of nurses, which has significant clinical application and promotion value.

Key words: Physical restraint, Restraint device, Unplanned extubation, Clinical nursing

中图分类号:

R472.9

赵菊华, 李晓静, 漆映辉, 范丽群, 赵小敏, 王英子. 卡槽式上肢约束具的设计及在患者上肢保护性约束中的应用[J]. 外科研究与新技术（中英文）, 2026, 15(3): 292-296.

ZHAO Juhua, LI Xiaojing, QI Yinghui, FAN Liqun, ZHAO Xiaomin, WANG Yingzi. Design and clinical application of slot-type upper limb restraint device[J]. Surgical Research and New Technique, 2026, 15(3): 292-296.

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卡槽式上肢约束具的设计及在患者上肢保护性约束中的应用

Design and clinical application of slot-type upper limb restraint device

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